-
Short CommunicationView abstract
PDF
Full text
The successful use of ECMO in neonatal respiratory failure has stimulated its application in children and adults. In PARDS, ECMO may support systemic oxygen delivery while allowing lung-protective unloading of the injured lungs through a reduction in ventilatory intensity. However, implementation of ECMO requires appropriate institutional infrastructure as well as specialized personnel resources. In 2009, during the H1N1 influenza pandemic, approximately 2,000 pediatric ECMO cases were registered worldwide (see also the website of the Extracorporeal Life Support Organization, ELSO)...... ReadMore -
Research ArticleView abstract
PDF
Full text
Lysosomal storage disorders (LSDs) comprise a group of over 80 monogenic disorders. With a few exceptions, the majority are autosomal recessive. LSDs results from the accumulation of incompletely catabolized substrates due to specific enzyme deficiencies in certain metabolic pathways. The accumulated substances gradually impair the function of cell organelles, especially lysosomes. Due to the low incidence of LSDs, they may be overlooked, and patients may go through a diagnostic odyssey. A high index of clinical suspicion is needed to diagnose LSD. The measurement of enzyme activity as a diagnostic tool for LSD is considered the gold standard for diagnosis. Specific individual enzyme activity may be evaluated in leukocytes, plasma, Dried Blood Spot (DBS), or in fibroblasts cultured from a skin biopsy. More recently, two methods were intro..... ReadMore -
Review Article
-
Opinion
-
Research ArticleView abstract
PDF
Full text
The incidence rate of recurrent laryngeal papilloma in children is 4.3 cases per 100000 people. It is a rare disease, but it is also the most critical benign tumor affecting children’s respiratory tract. Its clinical manifestations are hoarseness and upper respiratory tract obstruction of different degrees; Severe cases can directly endanger the life of the child due to upper respiratory obstruction, difficulty breathing, and subsequent suffocation. In recent years, high flow nasal cannula oxygen therapy (HFNO) has been shown to provide better oxygenation, ventilation, and maintain upper airway patency in adult patients with difficult airways. However, there is currently no reported experience in airway management of recurrent laryngeal papillomas in children with severe upper airway obstruction...... ReadMore -
Case ReportView abstract
PDF
Full text
Background: Therapeutic alternatives have been the subject of research for the treatment of persistent pulmonary hypertension of the newborn (PPHN). The use of tadalafil has shown to be a promising alternative to sildenafil. To analyze the evolution of eight newborns with PPHN admitted to an intensive care unit (ICU), which underwent therapeutic use of tadalafil in a daily dose of 1.5mg/kg/day every 24 hours. Methods: Review of medical records to assess several variables of interest performed before and after intervention with tadalafil. Results: The gestational age of neonates ranged from 31 weeks to 40 weeks and 5 days and the birth weight varied from 915 g to 4290 g...... ReadMore -
Short CommunicationView abstract
PDF
Full text
“It is difficult to get a man to understand something when his salary depends upon his not understanding it (Upton Sinclair).” Before electricity became widely available after 1930, home mechanical ventilation was not possible. In the 1940s and 50s up to full continuous noninvasive negative pressure ventilatory support was provided by Iron Lungs and other body ventilators [1]. The Danes did not have these in 1952, so tracheotomies were first done for ventilatory support (CTMV). This spread to the U.S. However, in 1953 the mouthpiece CNVS was described by Dr. John Affeldt at Rancho Los Amigos in Los Angeles. In 1957 Dr. Augusta Alba removed 257 patients from body ventilators and placed them on up to continuous noninvasive positive pressure ventilatory support (CNVS) via simple mouthpieces which many used for CNVS for over 50 years and..... ReadMore -
EditorialView abstract
PDF
Full text
Teachers are increasingly confronted with their students’ illnesses, because of better medical treatment successes, and/or due to an increase in civilization diseases or the effects of various stresses [1]. Currently, there are an average of four children and adolescents with a chronic disease in each class [2]...... ReadMore


